Question
Classical C section indicated in ‑
| A. | CA Cervix |
| B. |
Central placenta praevia |
| C. |
Failed induction |
| D. |
Fetal distress |
|
Correct Answer » A Explanation |
 |
– Classical cesarean section (C-section) involves a vertical incision in the upper uterine segment.
– It is used when the lower uterine segment is unsafe or inaccessible for incision.
A. Carcinoma cervix
– The cervix is diseased and friable in carcinoma cervix.
– Lower segment cesarean section (LSCS) risks severe hemorrhage and tumor spread.
– Classical (upper segment) incision avoids the diseased cervix safely.
Explanation of Other Options
B. Central placenta previa
– Usually managed by LSCS.
– Placenta may be incised if needed; classical incision is not routinely required.
C. Failed induction of labor
– Managed by LSCS, not classical incision.
D. Fetal distress
– Emergency LSCS is performed.
– No indication for classical incision.
Classical Cesarean Section
– Vertical incision in the upper uterine segment.
Absolute/Classical Indications
– Carcinoma cervix.
– Lower segment inaccessible or unsafe.
Other Indications
– Transverse lie (especially back-down).
– Preterm fetus with poorly formed lower segment.
– Obstructing fibroid in lower segment.
– Dense adhesions in lower segment.
Advantages
– Better access when lower segment cannot be used.
Disadvantages
– Increased blood loss.
– Higher risk of uterine rupture in future pregnancies.
– Poor healing compared to LSCS